Grid Application Form Housemart

PROPERTY ADDRESS:

RENT $

Have you viewed the inside of this property? YES / NO

IF YES, when did you view?

Personal Details

Full name:

Male / Female

Current address:

Date of Birth:

Rental / Own home / Other

Previous address (prior to the above):

Tel (hm):

(wk):

Usual Occupation:

Tel (mob):

Email:

Do you smoke? Yes / No

If you are under 18 years of age, are you married? Yes / No

Nationality:

Identification. Passport, Driver's Licence, Birth Certificate (copy must be supplied):

Upload scanned files (optional):

If you are not an Australian or New Zealand Citizen, please provide a copy of your current Visa or proof of residency

General Information

Current Landlord/Agent:

Tel:

Email:

How long have you lived there?

What is your main reason for moving?

Do you have any pets? Yes / No

Type:

Breed:

Number of vehicles you will be parking at the new premises:

How long do you wish this property for?

Move in date:

Have you ever had an Order made against you by the Tenancy Tribunal? Yes / No

If Yes, for what reason?

How did you find out about Housemart?

Other Occupants (all applicants 18 years and over must complete)

Please list other persons who will be living with you at the property (They will need to complete an application form also)

1:

Relationship:

2:

Relationship:

3:

Relationship:

Source of Income

What is your source of income? (i.e. Salary, wages, benefit, superannuation, savings, etc.)

Name of current employer:

Phone Number:

Position held:

How long with this employer?

Outline brief details of previous employer:

Requests

Any requests for the property:

Next of Kin (a contact address of a family member or friend who does not live with you)

Name:

Relationship:

Address:

Phone number:

Address for Service (a contact address of a relative or friend in New Zealand who does not live with you. The email address would be your best contact and can be your personal email)

Name:

Relationship:

Address:

Phone number:

Email:

IMPORTANT INFORMATION: We do not accept cash/cheques/eftpos in our office for payment of rent. All rent payments must be made by Automatic Payment only and this will be a condition of your Tenancy Agreement. Should this application be accepted, you will be required to provide your bank account details at the time of signing your lease, otherwise the tenancy will not proceed. No personal cheques are acceptable.

References - Include two references (no family members please). All overseas references must be in writing. Previous or current Landlord references are best.

1.

Name:

Tel:

Type of reference: (i.e. landlord, character, employment etc)

Upload files (optional)

2.

Name:

Tel:

Type of reference: (i.e. landlord, character, employment etc)

Upload files (optional)

3.

Credit Reference - Housemart will always complete a Credit Check based on the information you give here. (If you are from overseas, you can obtain your own credit check to assist with your application)

If you are Australian, log on to

www.mycreditfile.com.au

Cost = $36.95 AUD

I consent to Housemart using the information provided here to complete a Credit Check to support my application. I consent to Housemart providing the information in this from and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database. I acknowledge that the information may then be publicly accessible through credit bureaux or tenant default databases. I agree that you may use any of the information on this form to enforce any judgement in respect of the tenancy agreement or in respect of any order against me made by the Tenancy Tribunal. I authorise the organisations and people detailed above to divulge any information Housemart may request.

I understand this application is subject to the approval of the owner/agent. Upon acceptance of the application, I understand the property will not be secured until Housemart first receive the first week's rent as a deposit and if I withdraw my application after this period, I will forfeit this payment. On acceptance of this application I agree to enter in to a Tenancy Agreement to take the above residential premises for the agreed term and from the commencement date stated above.

1 week rental @ $ per week

=

$

4 weeks rental for bond

=

$

TOTAL

=

$

Privacy Act 1993 Statement

For the purposes of the Privacy Act 1993:

This application form collected personal information about you.
This information is required to:
- Assess your eligibility as a tenant, and
- Collect information which will be provided to a tenant default database or bureaux if you enter into a tenancy agreement and fail to comply with the terms of the agreement. (A tenant default database records the names of persons who have been found to breach a tenancy agreement on the Residential Tenancies Act 1986 by the Tenancy Tribunal).
The information will also be made available to credit bureaux or tenant default databases.
If you do not supply all the information in this form, you may not be considered the best applicant for any of the properties we administer.
You have the right to see the information we hold about you and to correct that information in accordance with the Privacy Act.
You have the right to see any information held about you by any credit bureau or tenant default database and to correct it in accordance with the Privacy Act.

I confirm the information in this form is true and correct and that I have read the Privacy Act 1993 statement above.

Tenant Application Form

Personal Details

General Information

Other Occupants (all applicants 18 years and over must complete)

Source of Income

Requests

Next of Kin (a contact address of a family member or friend who does not live with you)

Address for Service (a contact address of a relative or friend in New Zealand who does not live with you. The email address would be your best contact and can be your personal email)

References - Include two references (no family members please). All overseas references must be in writing. Previous or current Landlord references are best.

Privacy Act 1993 Statement

Housemart